How are premature ejaculation and impotence caused?

Patient's question:

I have been suffering from premature ejaculation for a year. How is premature ejaculation caused? Because I was afraid of being laughed at by others, I have never gone to the hospital for treatment. Instead, I have tried various methods to manage premature ejaculation through many channels, but it hasn't been effective at all. Now, I don't even know what to do.

Doctor's answer:

Ejaculatory dysfunction refers to a condition where a man can achieve normal penile erection during sexual activity, but the duration of intercourse is less than 2 minutes. There are many causes of premature ejaculation, such as: excessive sexual activity, tight underwear, prolonged foreskin, short frenulum of the penis, seminal vesiculitis, chronic prostatitis, epididymitis, etc., which can lead to premature ejaculation. Generally, treatment involves psychological counseling, changing sexual practices, diverting attention, and quitting bad habits like intercourse to prolong ejaculation and alleviate symptoms. For severe cases of premature ejaculation, surgical treatment may be an option. It is recommended that you consult a formal urological hospital for follow-up.

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